EBC - ON DEMAND
European Bifurcation Club 2019, EBC 2019 – Barcelona, Spain
NEWS 2
Trend of Bifurcation PCI from COBIS I to COBIS III
Author: Joon Hyung Doh, MD, PhD, Inje University Ilsan Paik Hospital, Goyang, Korea & Ki Hong Choi, MD, Samsung Medical Center, Seoul, Korea
CONTEXT
Trend of Bifurcation PCI in Korea using COBIS I, COBIS II, and COBIS III Registries
- Comparison of Inclusion Criteria and Baseline Characteristics
- Changes of Treatment Strategies
- Comparison of Follow-up Clinical Outcomes
SUMMARY
- From COBIS I to COBIS III, left main bifurcation PCI is increasing.
- 1-stent strategy is still the most preferred technique (81.5% in COBIS III), even in LM bifurcation PCI.
- Among various 2-stenting techniques, the ‘crush technique’ is the most commonly used in Korea.
- The use of IVUS and trans-radial intervention are also on the rise in patients under went PCI with bifurcation lesion.
- Although proportion of FKB was reduced in COBIS III (compared with COBIS II), the concept of POT have been newly developed and widely used.
- From COBIS I to COBIS III, the incidence of MACE (cardiac death, MI, and TLR) tren d toward to decrease in real world bifurcation PCI.